THE MIDWEST C ENTER FOR REPRODUCTIVE HEATLH, P.A. (NPI# 1649401688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649401688 |
| Entity Type | Organization |
| Organization Name | THE MIDWEST C ENTER FOR REPRODUCTIVE HEATLH, P.A. |
| Practice Address |
12000 Elm Creek Blvd N Suite 350 Maple Grove MN 55369-7073 |
| Practice Telephone | 7634947700 |
| Practice Fax Number | 7634947706 |
| Mailing Telephone | 7634947700 |
| Mailing Fax Number | 7634947706 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | DR. RANDLE S CORFMAN (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 7634947700 |
| Authorized Official Credential | PH.D, M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
207VE0102X | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS-MN PROVIDER | 3D492 | 01 |
| MN | BCBS-ND PROVIDER | COR16154 | 01 |
| MN | UPIN | E02458 | 01 |
| MN | BCBS-ND PROVIDER | COR16153 | 01 |
| MN | BCBS-MN PROVIDER FACILITY | 3D491MI | 01 |
| Street Address |
12000 ELM CREEK BLVD N SUITE 350 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-7073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979489 | Christopher A. Carlson | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2005-08-18 |
| 1891295861 | Maple Grove Periodontics and Implant Dentistry | Dentist | 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073 | 2018-02-16 |
| 1598111684 | Michael Lao | Counselor | 12000 Elm Creek Blvd N, L70, Maple Grove, MN 55369-7073 | 2016-05-09 |
| 1629410618 | Kimberly Anne Gustafson | Physical Therapist | 12000 Elm Creek Blvd N, Suite #120, Maple Grove, MN 55369-7073 | 2013-07-19 |
| 1487997037 | Kyrsten Ann Johnson | Pediatrics | 12000 Elm Creek Blvd N, Suite 250, Maple Grove, MN 55369-7073 | 2013-04-02 |
| 1851662688 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 12000 Elm Creek Blvd N, Suite 360, Maple Grove, MN 55369-7073 | 2012-01-25 |
| 1841523248 | Mcrh Alpha Medical, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-09-16 |
| 1396976437 | Great Planes Reproductive Center, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
| 1184889073 | Jamie L Sledd | Clinic/Center | 12000 Elm Creek Blvd N, Suite 230, Maple Grove, MN 55369-7073 | 2008-07-21 |
| 1417123696 | Anshu Sharma | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457307191 | Karen L Collins | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2006-05-25 |
| 1841523248 | Mcrh Alpha Medical, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-09-16 |
| 1396976437 | Great Planes Reproductive Center, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
| 1649314584 | Randle Scott Corfman | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780983528 | Wael Salem | Obstetrics & Gynecology | 6565 France Ave S Ste 400a, Edina, MN 55435 | 2011-03-18 |
| 1386653699 | Colleen Louise Casey | Obstetrics & Gynecology | 2828 Chicago Ave. So., Suite 400, Minneapolis, MN 55407-1320 | 2006-08-05 |
| 1669428470 | Charity Lee Angle | Obstetrics & Gynecology | 2800 Chicago Av S, Suite 300, Minneapolis, MN 55407-1320 | 2006-05-25 |
| 1457300527 | Pamela Rae Herder | Obstetrics & Gynecology | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1320 | 2006-05-08 |
| 1578958229 | Colleen Miller | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-03-31 |
| 1679816607 | Tana Kim | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-03-27 |
| 1194043984 | Chandra C Shenoy | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0002 | 2010-05-04 |
| 1447397849 | Donald A Pavelka | Obstetrics & Gynecology | 500 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2765 | 2007-02-01 |
| 1275542573 | Advanced Reproductive Technologies Pa | Obstetrics & Gynecology | 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 | 2006-08-05 |
| 1730113630 | Center for Reproductive Medicine Pa | Obstetrics & Gynecology | 2828 Chicago Ave, Suite 400, Minneapolis, MN 55407-1544 | 2006-07-10 |
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| City | MAPLE GROVE |
| Zip Code | 55369 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.